Provider Demographics
NPI:1023184322
Name:DHANANI, YURZUL N (MD)
Entity Type:Individual
Prefix:DR
First Name:YURZUL
Middle Name:N
Last Name:DHANANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E LATHAM AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4424
Mailing Address - Country:US
Mailing Address - Phone:951-652-5132
Mailing Address - Fax:951-652-6070
Practice Address - Street 1:1275 E LATHAM AVE STE C
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4424
Practice Address - Country:US
Practice Address - Phone:951-652-5132
Practice Address - Fax:951-652-6070
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41153207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A29314Medicare UPIN
CA00A411530Medicare PIN